Chantel Renee Reben

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

12005 E 470 Rd
Claremore, OK 74017-3737

Phone

(918) 342-0770

NPI assigned

Jan 16, 2019

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resonance Center for Women, Inc.

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1366568602
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1962976514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 E 470 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173737",
            "telephone_number": "918-342-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 E 470 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173737",
            "telephone_number": "918-342-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 S Elwood Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741194208",
            "country_code": "US",
            "telephone_number": "918-587-3888",
            "fax_number": "918-587-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBEN",
        "first_name": "CHANTEL",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Lou Ray, RN
• Natasha Jean Ray
• RBS Evolution of Oklahoma LLC (Northeastern Oklahoma Cancer Inst)
• Shannon Reavis, ARNP FNP-C
• Rebecca Wright DO PLLC
• Aleiya Marie Record
• Red Hawk Behavioral Health LLC (Red Hawk Behavioral Health)
• Suzanne Redden
• Allison Gayle Redick, O.T.
• Ashley Renee Reed

• Peer Specialist in Claremore, OK
• Providers in Claremore, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.